# RAMEEN S MORIDZADEH MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255295184
- **Authorized official:** RAMEEN MORIDZADEH MD (CEO)
- **Authorized official phone:** (310) 652-8132

## Contact information

- **Practice address:** 8631 W 3RD ST STE 615E, LOS ANGELES, CA 90048-5910
- **Practice address phone:** (310) 652-8132
- **Mailing address:** 820 MARCO PL, VENICE, CA 90291-3918
- **Mailing address phone:** (310) 652-8132

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/15/2025
- **Last updated:** 12/15/2025